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General NPI Number Information
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NPI Number | 1306624937
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Entity Type | Individual
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Provider Name | CAITLIN MAUREEN MCMASTER MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 906 CR 6
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City | ALMA
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State | CO
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Zip | 80420
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Country | US
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Telephone | 970-412-3369
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2062
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-2031
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Country | US
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Telephone | 970-412-3369
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0006768
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License Number State | CO
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